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Arkansas rates for HCPCS 42200

Palatop Cl Palate Soft&/Hard Palate Only

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,107.81 / $1,688.00 / $3,000.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$830.38 / $1,094.25 / $2,258.63
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5,430.62 / $5,430.62 / $6,190.91
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$975.94 / $1,291.68 / $1,435.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$515.00 / $789.00 / $4,337.37
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$764.30 / $1,322.86 / $1,773.87
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,565.00 / $2,595.00 / $6,957.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$812.39 / $1,131.36 / $1,878.52